Leadership in EMS
Image provided by Jeff Fishel, MSHA, NRP The Circle of Care starts with providers. There are many hot topic items in the realm of EMS these days. One of which is that of leadership, or the lack thereof, in our industry. While I would never even attempt to assume some sort of a title of “expert in leadership,” I feel in my career I have been extremely fortunate to learn from the best and to also learn from those who were not. We’ve all seen it on social media with the mass sharing of the “leadership” meme. We’ve heard the leadership talks at conferences, read the articles and partici...
Source: JEMS Administration and Leadership - August 29, 2019 Category: Emergency Medicine Authors: Jeff Fishel, MSHA, NRP Tags: Exclusive Articles Resiliency Administration and Leadership Source Type: news

Communication, Relationships at the Heart of Interoperable Active Threat Exercise
Photo Phoenix Police Department Phoenix Police command officers using the hood of a police SUV to coordinate the Unified Response plan.   Scott Petersen, Phoenix Fire Department In 2015, Phoenix Children’s Hospital invited the Phoenix Fire and Police Departments to participate in an active threat exercise at the hospital’s main campus. The exercise – a hostage-barricade situation – was a wake-up call for regional public safety responders. Public safety organizations make a commitment to protect, to honor, to save. However, the exercise at Phoenix Children’s shined a light on all...
Source: JEMS Administration and Leadership - August 10, 2019 Category: Emergency Medicine Authors: Scott Petersen Tags: Training Exclusive Articles Communications & Dispatch Administration and Leadership Source Type: news

What Motivates Us to Excel? A Personalized Look at Employee Engagement
Photo National Highway Traffic Safety Administration A file photo of a 911 call center.   Knowing and studying engagement can yield some great techniques to encourage engagement with your staff but nothing beats firsthand knowledge of what motivates your staff. When we started asking this of the crews, we had some of the same questions that others may have. What would make anyone in their right mind run into, rather than away from, a stressful and possibly dangerous situation day after day to altruistically care for others? Some of the answers are what you would expect and others were somewhat of a surprise. Many...
Source: JEMS Administration and Leadership - August 10, 2019 Category: Emergency Medicine Authors: Chuck Gipson MA, NRP / CCP Tags: Exclusive Articles Communications & Dispatch Administration and Leadership Source Type: news

The Art and Science of Improving Resuscitation
For over 40 years as a physician, researcher, author and EMS medical director, Mickey Eisenberg has led the charge for increasing sudden cardiac arrest survival rates and is one reason for the success that Seattle and King County, Washington, have demonstrated in saving people’s lives. Eisenberg first came to Seattle and the King County EMS system, known as Medic One, in the 1970s. Under the guidance of Drs. Leonard Cobb and Michael Copass, Eisenberg helped take the Medic One system that had started in Seattle and implement it throughout the entire county. At the same time, he combined his public health education and...
Source: JEMS Administration and Leadership - July 30, 2019 Category: Emergency Medicine Authors: JEMS Staff Tags: Exclusive Articles Cardiac & Resuscitation Administration and Leadership Source Type: news

2018 EMT Course Census: Why Are People Taking EMT Courses?
For many, the first step into the world of EMS takes place by seeking and taking an EMT course. Many different types of individuals take EMT courses, including firefighters, those interested in the medical field, and individuals seeking a change in career. Initial EMT courses offer students exposure to the medical field, a bit of anatomy and physiology, and insights into very basic pharmacology. EMT programs usually last anywhere from six weeks to several months. Methods To better understand the demographics of an EMT course, the intent of this article is to share the EMT-initial class enrollment of a training center in th...
Source: JEMS Administration and Leadership - July 25, 2019 Category: Emergency Medicine Authors: Aditya Shekhar Tags: Exclusive Articles Administration and Leadership Source Type: news

Building a More Effective and Efficient EMS Quality Improvement System
At Community Ambulance, we’ve always felt that we provide high-quality medical care to our communities across several counties in Georgia. I certainly felt that way during my time here as a paramedic and field supervisor: We took education seriously, and we had quality compliance managers who were tasked with keeping an eye on our patient care reports (PCRs) to ensure we completed them properly and provided appropriate care. I’m sure most EMS organizations are currently in the same boat we were in a few years ago: We thought we were doing a great job, but did we really know whether we were, or how we could get ...
Source: JEMS Administration and Leadership - June 11, 2019 Category: Emergency Medicine Authors: Lane Kilpatrick, NRP Tags: Exclusive Articles Documentation & Patient Care Reporting Source Type: news

Houston ED Opioid System Integrates Assertive Outreach with Comprehensive Care for Opioid Use Disorder
Eight months ago, 35-year old Adam Smith (name changed to protect the patient’s identity) was living in his car in Houston, dealing with the fallout from opioid use disorder (i.e., addiction). Even after years of seeking help, he was struggling to pick up the pieces after spending time in jail, ruining relationships, being let go from jobs and losing homes. Adam is one of more than two million people dealing with opioid use disorder, a devastating brain disease with negative consequences to individuals, as well as their families and communities. Adam was fortunate to have been connected to HEROES, a proactive treatme...
Source: JEMS Administration and Leadership - June 6, 2019 Category: Emergency Medicine Authors: James Langabeer II, PhD, EMT Tags: Exclusive Articles Administration and Leadership Mobile Integrated Healthcare Source Type: news

A Pledge: Setting a Course Toward Making a Difference in EMS
Have you ever made a pledge? As a school teacher, I made a pledge each morning when I said the Pledge of Allegiance with each class. There are other pledges I have made. A pledge to pay my mortgage, a pledge to be faithful to my wife, a pledge to defend my country when I was sworn into the Navy, and a pledge to a friend to pray for him as he fought an illness. No doubt, you have made similar pledges throughout your life. In fact, so many pledges seem to water down our thoughts about the seriousness of our pledges. Each of my classes over the years has stood at attention outside in ranks, saluted the flag of the United Stat...
Source: JEMS Administration and Leadership - May 15, 2019 Category: Emergency Medicine Authors: William P. Richard, EMT-P Tags: Exclusive Articles Administration and Leadership Source Type: news

EMS Week and Going ‘Beyond the Call’: The Federal Perspective
The first EMS Week was celebrated in 1974, shortly after the creation of the Division of Emergency Treatment and Transfer of the Injured at the National Highway Safety Bureau—the predecessor of today’s Office of EMS in the National Highway Traffic Safety Administration (NHTSA). Since that time, NHTSA has supported national EMS projects that have shaped the profession for more than a generation. In 2019, NHTSA and its federal partners have continued to build on that legacy with the release of EMS Agenda 2050 and the 2019 National EMS Scope of Practice Model and other projects of national significance. In May, co...
Source: JEMS Administration and Leadership - May 15, 2019 Category: Emergency Medicine Authors: JEMS Staff Tags: Exclusive Articles Administration and Leadership Source Type: news

Is Your Organization Leaving Money on the Table?
Across the U.S., unpaid emergency transport bills are costing counties millions of dollars each year. For example, in 2017, Commissioners in Palm Beach County, Florida, approved writing off $11.8 million in “uncollectable emergency transport patient accounts.”1 Similarly, the city of Berkeley, California, reported a five-year average of uncollected ambulance fees amounting to $2.6 million per year.2 Soft billing practices, lack of billing transparency and increasing out-of-pocket expenses as a result of high deductible plans have all contributed to the growing debt across EMS agencies. With the passing of the B...
Source: JEMS Administration and Leadership - May 15, 2019 Category: Emergency Medicine Authors: Eric Foust, MBA Tags: Exclusive Articles Administration and Leadership Source Type: news

What ’s in a Title? Why Credentialing EMS Leaders Matters
Brian LaCroix is the president of the National EMS Management Association (NEMSMA), an organization for leaders representing all service models. Brian recently retired from his role as president and EMS chief for Allina Health EMS, a hospital-based system with headquarters in St. Paul, Minnesota, serving more than 100 communities with more than 600 employees. It was named career service of the year by the NAEMT in 2017. Brian began his career in 1983 and has worked as a volunteer firefighter, EMT, paramedic, educator, author, peer counselor, manager and executive officer. Q: Why is supporting and credentialing leaders in t...
Source: JEMS Administration and Leadership - April 17, 2019 Category: Emergency Medicine Authors: JEMS Staff Tags: Training EMS Insider Exclusive Articles Administration and Leadership Source Type: news

Caring for the Caregiver: I ’m Not OK, But That’s OK
“We’re here to serve others, and they’re important. But they’re not more important than we are.”1 Retired EMT and iconic author Thom Dick shared this consideration in his aptly titled book, People Care. Thom went on to explain how valuable each of us are as caregivers and that most importantly, “first things first: take care of yourself.1 To some, this mindset may seem quite self-centered and in total contrast to what many of us have come to live our careers by: that we are here to serve others and the patient always comes first. Healthcare systems that have modernized how they deliver s...
Source: JEMS Administration and Leadership - April 17, 2019 Category: Emergency Medicine Authors: Kevin Smith, BAppBS, ACP Tags: EMS Insider Exclusive Articles Resiliency Operations Administration and Leadership Source Type: news

Too Many Medics? Debating a Tiered Response vs. All-ALS EMS System
There’s been an ongoing debate in EMS, emergency medicine and fire service literature regarding whether or not having too many paramedics practicing at the ALS level leads to skill degradation and negative patient outcomes. These concerns have stemmed from the growing number of ALS-only EMS systems across the United States—a departure from more regionalized systems of ALS, where a paramedic unit (or units) served a number of communities that were supported by BLS services. These systems are largely being replaced by instituting paramedic services in all communities, and includes both paramedics staffing ambulan...
Source: JEMS Administration and Leadership - April 16, 2019 Category: Emergency Medicine Authors: Stephen P. Wood, MS, ACNP-BC Tags: Exclusive Articles Operations Administration and Leadership Source Type: news

Thinking About Applying for CMS ’ New ET3 Model?
The EMS community has been buzzing since the Centers for Medicare & Medicaid Services (CMS) Center for Medicare and Medicaid Innovation (CMMI) announced the Emergency Triage, Treat and Transport (ET3) Model. CMS has conducted a national press conference and three webinars explaining the model. Although many aspects of the program are still in development, the main tenets of the model have been well articulated and ambulance services will likely become eligible to apply by mid to late summer. Given the ambitious timeline communicated by CMS, it’s not too early to begin thinking about considerations if you are eval...
Source: JEMS Administration and Leadership - April 5, 2019 Category: Emergency Medicine Authors: Brent Myers, MD, MPH, FACEP, FAEMS Tags: EMS Insider Top Story Exclusive Articles Administration and Leadership Source Type: news

Cape Breton Paramedic Conference: Looking Back and Moving Forward
The Cape Breton Paramedic Conference takes place just outside of Sydney in Nova Scotia, Canada, every September. The first conference was held in 2013, after a group of frontline paramedic clinicians, educators and administrators had a vision of delivering world-class education to the paramedics of Cape Breton in Nova Scotia. The three-day conference, held this year on Sep. 27-29, is attended by approximately 120 people at the Gaelic College in St. Ann’s, a beautiful location nestled in the woods of the world-renowned Cabot Trail, overlooking scenic St. Ann’s Bay. The conference boasts an exceptional educationa...
Source: JEMS Administration and Leadership - April 2, 2019 Category: Emergency Medicine Authors: Walt A. Stoy, PhD, EMT-P Tags: Exclusive Articles Administration and Leadership Top Story Source Type: news

A Familiar Mountain Named Streetsense
As autumn lingers and winter waits in the wings with its icy breath, I find myself pondering time again. The trees in the hardwood forest outside my office window are still leafy, but they are late-fall dun and backdropped by a slate-grey sky. All too soon, the branches will reach up bare and stark. The seminal guide for street-smart EMTs and paramedics, Streetsense: Communication, Safety and Control will be released soon in a refreshed 4th edition from JEMS Books and Videos. Here inside, it’s time at last (after three months of preliminaries) to start over again on my first book, Streetsense: Communication, Safety a...
Source: JEMS Administration and Leadership - March 26, 2019 Category: Emergency Medicine Authors: Kate Dernocoeur, NREMT Tags: Columns Top Story Exclusive Articles Administration and Leadership Source Type: news

Improving EMS Patient Care with Communication Technologies
We sat down with Chief Barry Luke, Deputy Executive Director at the National Public Safety Telecommunications Council (NPSTC), to discuss how new communications technologies benefit EMS patient care.Chief Luke has more than 44 years of experience in public safety communications as a firefighter, paramedic and police officer. He’s well known in the public safety community as a vocal advocate of Next Generation 9-1-1 (NG911) and respected leader on emergency communications. He also supported the development of the new resource, NG911 For Leaders in EMS. Q: Communication technologies are developing at a rapid pace. How ...
Source: JEMS Administration and Leadership - March 20, 2019 Category: Emergency Medicine Authors: JEMS Staff Tags: Top Story Exclusive Articles Administration and Leadership Communications & Dispatch Source Type: news

Staying Focused on the Road Ahead
At the Eagles Conference being held this week in Dallas, a friend of mine who was at the recent JEMS EMS Today Conference asked me about my keynote talk about pride and professionalism in what we do in public safety. We chatted for a long time, and I told him that I wanted the audience to feel the great pride I had in our profession—but also I wanted the audience to recognize our many shortcomings as a result of being somewhat nearsighted as young EMS pioneers. We were so worried about perfecting our new clinical skills and focused primarily on the clinical tasks and obstacles that were immediately ahead of us, that ...
Source: JEMS Administration and Leadership - March 2, 2019 Category: Emergency Medicine Authors: A.J. Heightman, MPA, EMT P Tags: Columns Exclusive Articles Administration and Leadership Source Type: news

EMS Medical Directors Chart the Future of EMS at Annual Gathering of Eagles
The Metropolitan Medical Directors Coalition (AKA “Eagles”) 21st Annual Retreat (AKA “Eagle Creek”) was held Wednesday and Thursday, February 27 and 28, at the Dallas Sheraton Hotel under the leadership of Paul Pepe, MD. The closed, invitation-only retreat is attended by 70 medical directors from the most-populated metropolitan EMS systems as well as 18 EMS fellows—33% of the nation’s current EMS fellows. This group oversees EMS for a combined population of over 114 million people in the United States and abroad, with representatives from Canada; Germany; New Zealand; Italy; Amsterdam, T...
Source: JEMS Administration and Leadership - February 28, 2019 Category: Emergency Medicine Authors: A.J. Heightman, MPA, EMT P Tags: Top Story News Exclusive Articles Patient Care Administration and Leadership Operations Source Type: news

Swedish EMS Rises to the Challenge of Multiculturalism
“A young man might throw stones at a fire truck or an ambulance,” says Janina Sabra, 31, as she strides into her office at a youth center in rough-and-tumble east Gothenburg, Sweden. “But he won’t throw them at his friend—he won’t throw them at ‘Uncle Daniel.’” Sabra should know. The managing director of Person Behind the Uniform (PBU)—an innovative community outreach program designed to bring young people and first responders together—she has undeniable street cred. Forward thinking: Janina Sabra, managing director of the Man Behind the Uniform. Photo Mark...
Source: JEMS Administration and Leadership - February 25, 2019 Category: Emergency Medicine Authors: Mark S. Weiner, PhD, JD, EMT-B Tags: International Top Story Exclusive Articles Administration and Leadership Source Type: news

EMS10: Innovators in EMS Award Winners Announced at EMS Today 2019
The winners of this year’s EMS10: Innovators in EMS awards were announced by JEMS Editor-in-Chief A.J. Heightman on Wednesday morning, Feb. 20, at an exclusive breakfast, hosted as part of EMS Today 2019 in National Harbor, Maryland, and sponsored by Stryker. A panel of professional EMS colleagues and peers selected the distinguished winners, who each displayed initiative, creative thinking, action-orientation and a desire to positively impact EMS, patients and their communities in the previous year. The winners of the 2018 EMS10: Innovators in EMS awards are: Morgan K. Anderson, MPH Epidemiologist, ...
Source: JEMS Administration and Leadership - February 20, 2019 Category: Emergency Medicine Authors: Ryan Kelley, NREMT Tags: EMS Today Conference Top Story Exclusive Articles Administration and Leadership Source Type: news

The Priority and Future of Research in EMS
Allina Health EMS Researcher Lori Boland, MPH At Allina Health EMS, a small research team works inside the St. Paul, Minnesota-based EMS agency, which has more than 600 care providers and serves more than 100 communities in the region. We sat down with Lori Boland, MPH, principal research scientist at Allina Health EMS, to discuss the importance of research in EMS.Lori is a clinical epidemiologist who collaborates with emergency medicine physicians and prehospital clinicians in support of investigator-initiated research in the area of emergency services at Allina Health EMS. She earned her MPH in epidemiology with an empha...
Source: JEMS Administration and Leadership - February 16, 2019 Category: Emergency Medicine Authors: Ryan Kelley, NREMT Tags: EMS Insider Exclusive Articles Operations Administration and Leadership Source Type: news

Community Response to Cardiac Arrest in the Netherlands
In 1767, the Foundation of the Rescue of Drowned Persons was established in the Netherlands because of the high number of people who drowned in Amsterdam’s many canals. The foundation promoted rescue techniques, informing Amsterdam’s citizens that drowned persons could actually be saved by first-aid interventions. They also gave medals to rescuers. The foundation exists and is still active today, and it illustrates the proactive Dutch attitude toward community participation to save lives. Like drowning, the first few minutes of an out-of-hospital cardiac arrest (OHCA) are essential. This is especially true when...
Source: JEMS Administration and Leadership - February 12, 2019 Category: Emergency Medicine Authors: Hans van Schuppen, MD Tags: Cardiac & Resuscitation Exclusive Articles Heart of America Top Story International Communications Dispatch Source Type: news

Dispatch-Assisted CPR
Early recognition of cardiac arrest, early effective CPR and early defibrillation are the most effective treatments yielding favorable neurological outcome from out-of-hospital cardiac arrest (OHCA). If CPR is started prior to the arrival of EMS, the patient’s chances for survival dramatically increase. The data supporting this axiom is extensive but is exemplified by a recent large review. CPR provided by bystanders prior to EMS arrival was studied in a retrospective Swedish cohort of over 31,000 patients spanning a period from 1990–2011, and researchers found that 30-day survival improved from 4% to 10.9%.1 B...
Source: JEMS Administration and Leadership - February 12, 2019 Category: Emergency Medicine Authors: Michael Levy, MD, FACEP, FAEMS, FACP Tags: Cardiac & Resuscitation Exclusive Articles Patient Care Operations Heart of America Top Story Communications Dispatch Source Type: news

Electronic Community Alerting and Response to Cardiac Arrest
Public safety agencies are increasingly using mobile apps to engage CPR-trained citizens on nearby out-of-hospital cardiac arrest (OHCA) events occurring in their community. For extremely time sensitive emergencies like cardiac arrest, notifying these “first-first responders” who are in the immediate vicinity of an event—simultaneously with the conventional Fire/EMS response—offers the potential to improve outcomes. By expanding situational awareness beyond the purview of a traditional witnessed arrest radius, there’s a better opportunity to instantly draw skilled individuals, including off-du...
Source: JEMS Administration and Leadership - February 12, 2019 Category: Emergency Medicine Authors: Richard Price, MPA Tags: Cardiac & Resuscitation Top Story Exclusive Articles Communications Dispatch Administration and Leadership Heart of America Source Type: news

Pro Bono: ‘Guns-at-Work’ Laws Raise Legal Issues for EMS Agencies
The Virginia state senate has passed a bill that would allow EMS personnel and firefighters to carry concealed weapons in the course of their duties, provided they’re approved to do so by their EMS or fire chief. The bill would also require an EMS agency or fire department to put in place a written policy regarding “best practices in carrying a concealed handgun.” JEMS: Bill to Arm Firefighters, Medics Passes in Virginia Senate The proposed legislation—Senate Bill 1012—passed the senate by a small margin and heads to the Virginia House of Delegates where it’s expected to be defeated...
Source: JEMS Administration and Leadership - February 1, 2019 Category: Emergency Medicine Authors: Doug Wolfberg, Esq. Tags: Top Story Exclusive Articles Administration and Leadership Operations Source Type: news

How Public Relation(ships) Can Enhance Your Brand and Build Affinity for Your EMS Agency
What if one of your EMS crews were involved in a serious vehicle accident? How many news cycles and media outlets would you expect to cover it? How do you establish your brand as the mobile health and prehospital leader and subject matter expert in your region? Does the community generally have a positive impression of your organization? What if your main competitor shared untrue information about your organization with local elected officials? Would you easily get the chance to set the record straight with them? These questions underscore the importance of a multipronged, foundational approach to a strong external public ...
Source: JEMS Administration and Leadership - January 16, 2019 Category: Emergency Medicine Authors: Alexia Bratiotis Jobson, BA, APR Tags: Exclusive Articles Administration and Leadership Source Type: news

National Registry Evolution Builds Momentum
NREMT Executive Director Bill Seifarth. Since its founding in 1970, the National Registry of EMTs (NREMT) has offered the nation assurance that the men and women providing emergency treatment in the out-of-hospital setting are capable of providing the care that patients and their loved ones deserve. Following the interim direction of Drew Dawson, the NREMT named Bill Seifarth as its new executive director in August 2018. An EMS industry veteran, Seifarth brings more than 20 years of experience to the position, including leadership at both the state and federal levels, along with a background of managing several comprehensi...
Source: JEMS Administration and Leadership - January 16, 2019 Category: Emergency Medicine Authors: Ryan Kelley, NREMT Tags: Exclusive Articles Administration and Leadership Source Type: news

Stop the Burn and Churn of Turnover and Burnout Through Resiliency Science
Several years ago, while sitting in a critical incident debriefing, I noted how little was understood about the impact of high-intensive exposure to the complexity of humanity. The incident debrief concerned a murder of one individual for their unborn baby. Both mother and infant died from the action of another. As the healthcare responders, we were dealing with the high emotional load of what we saw and how it impacted us. According to the Oxford English Dictionary, the definition of the word “resilience” is: “the capacity to recover quickly from difficulties, toughness … the ability of a substanc...
Source: JEMS Administration and Leadership - January 16, 2019 Category: Emergency Medicine Authors: Martie L. Moore, RN, MAOM, CPHQ Tags: Exclusive Articles Administration and Leadership Source Type: news

Former Homeland Security Director Reunited with Rescuers at NAEMSP Keynote
Former Pennsylvania Governor and Homeland Security Director Tom Ridge coded in his JW Marriott hotel room in Austin, Texas, in 2017. He was successfully resuscitated by crews from Austin-Travis County EMS and Fire and is one of among many cardiac arrest survivors grateful for the contributions of America’s EMTs and paramedics. Ridge was the opening keynote speaker yesterday at the annual meeting of the National Association of EMS Physicians, being held this week at the same JW Marriott in Austin where Ridge experienced his “life incident.” During his address, Secretary Ridge reviewed his history with EMS....
Source: JEMS Administration and Leadership - January 11, 2019 Category: Emergency Medicine Authors: A.J. Heightman, MPA, EMT-P Tags: Cardiac & Resuscitation News Exclusive Articles Administration and Leadership Source Type: news

EMS Today 2019: A Sneak Peak
Join AJ, Ryan and Bobby along with their special guests in a special Google Hangout where they discuss EMS Today 2019 and the incredible classes, events and workshops that will take place over three incredible days at the incredible Gaylord Resort in National Harbor, Maryland. Along with talking about the educatiopnal offerings, the group will talk about some of the challenges and opportunities that the medic community faces in the coming year. You can watch live at 1:00pm (Eastern); 12:00pm (Central); 10:00am (Pacific) on Tuesday, January 8th. If you can't join us live, the event will be archived here soon after it is bro...
Source: JEMS Administration and Leadership - January 3, 2019 Category: Emergency Medicine Authors: A.J. Heightman, MPA, EMT P Tags: Exclusive Articles Administration and Leadership EMS Today Source Type: news

Salute to Littleton Fire Rescue
January 1st was not just the start of a new year in Colorado. It was a big change day for the men and women of Littleton Fire Rescue (LFR), as their fire department is dissolved and their staff and facilities are absorbed and integrated into the massive South Metro Fire Rescue, the second-largest fire department in Colorado. The tragedy at Columbine High School on April 20, 1999, resulted in me traveling to the beautiful city of Littleton to personally meet and interview the men and women of LFR and their mutual aid neighbors. I walked through the bullet-riddled entranceways and hallways of Columbine with senior staff and ...
Source: JEMS Administration and Leadership - January 2, 2019 Category: Emergency Medicine Authors: A.J. Heightman, MPA, EMT P Tags: Exclusive Articles Columns Administration and Leadership Source Type: news

Closing Out the Year and Looking to the Future
As 2018 ends and 2019 approaches, I wanted to first thank all our readers, authors, columnists, photographers and editorial board members for following and contributing to our work throughout 2018. It was a year of change for JEMS, moving to an all-electronic platform and working to enhance our electronic delivery systems and methods. Change takes time, so we thank you for your patience and promise you that more great innovations are on the way to make your receipt and use of important articles and information easier to read, print out and share on all your devices. We appreciate our audience and do not take your trust in ...
Source: JEMS Administration and Leadership - December 22, 2018 Category: Emergency Medicine Authors: A.J. Heightman, MPA, EMT-P Tags: Exclusive Articles News Administration and Leadership Source Type: news

The Brutal Math of Drug-Seeking Behavior in Prehospital Care
Dallas Fire-Rescue Medical Director Marshal Isaacs, MD, calls them "prime numbers." He’s referring not only to drug-seekers—although many of them belong to the population of patients who "fall off the grid" in between encounters with the healthcare system, and therefore pose a major challenge to being tracked over time. These patients can be transients or migrant workers; they can be living in short-stay accommodations like motels, and therefore moving frequently around a region; they can be suffering from mental illness or addiction and moving among rehabilitation centers; or they...
Source: JEMS Administration and Leadership - December 19, 2018 Category: Emergency Medicine Authors: Jonathon S. Feit, MBA, MA Tags: Exclusive Articles Documentation & Patient Care Reporting Columns Source Type: news

Virginia EMT Suspended after Alleged Racist Comments, Receiving National Attention
PATRICK COUNTY, Va. (WSLS) - There’s national media attention on Patrick County this week after reports of racist comments allegedly made by a first responder on a white supremacist podcast. Now, local leaders are calling for the EMT to be fired. Alex McNabb is on unpaid leave with the JEB Stuart Volunteer Rescue Squad, as the Virginia Department of Health investigates his conduct. Read more at WSLS. (Source: JEMS Administration and Leadership)
Source: JEMS Administration and Leadership - December 15, 2018 Category: Emergency Medicine Authors: Tommy Lopez (WSLS 10) Tags: News News Videos Administration and Leadership Source Type: news

$80,000 EMS Medicine Fellowship Awarded to Dr. Benjamin Nicholson
OVERLAND PARK, KS – The National Association of Emergency Services Physicians (NAEMSP) is pleased to announce Dr. Benjamin D. Nicholson, Department of Emergency Medicine, Boston Medical Center, as the recipient of the NAEMSP/Stryker EMS Medicine Medical Director Fellowship. The 12-month, $80,000 fellowship covers training and education costs to pursue a career as a clinically focused EMS medical director who is board-certified in EMS medicine. The opportunity was created to expand the commitment of academic institutions to EMS medicine as a subspecialty and graduate a fellow with a passion for EMS leadership on a ...
Source: JEMS Administration and Leadership - December 14, 2018 Category: Emergency Medicine Authors: National Association of Emergency Medical Services Physicians (NAEMSP) (press release) Tags: News Administration and Leadership Industry News Press Releases Source Type: news

Clinical Performance Measures that Matter —Are You Ready?
Ask EMS professionals to define “quality in EMS” and you may get a tip of the head and an answer like, “Well, I’m not sure, but I know it when I see it.” In today’s healthcare environment, demonstrating quality is crucial. Payers are increasingly linking payment to outcome and quality, and becoming less interesting in paying for services that don’t add value or are quality-based.1 Historically, EMS has struggled operationalizing quality-based metrics. EMS Compass and the new National EMS Quality Alliance are attempting to get quality measures for EMS launched, and more importantly,...
Source: JEMS Administration and Leadership - December 11, 2018 Category: Emergency Medicine Authors: Wayne C. Harbour, NRP Tags: Exclusive Articles Operations Administration and Leadership Source Type: news

Winter Storm Creates a Busy Day for WV 9-1-1 Call Center
  BECKLEY, WV (WVNS) - When winter weather hits, the amount of accidents on the roads have the potential to increase, which means a busy day for 911 call centers. Director of JanCare Ambulance, Paul Seamann, and his team is working around the clock to make sure they are ready in any event. He said fortunately, the accidents are not as critical because the speeds are less. (Source: JEMS Administration and Leadership)
Source: JEMS Administration and Leadership - December 10, 2018 Category: Emergency Medicine Authors: Taylor Neuman (WVNS) Tags: News News Videos Communications & Dispatch Operations Source Type: news

EMT Accused of Sending Explicit Photos to Teen He Treated
  (Source: JEMS Administration and Leadership)
Source: JEMS Administration and Leadership - December 10, 2018 Category: Emergency Medicine Authors: WPXI Tags: News Videos Administration and Leadership Source Type: news

FDNY EMT Arroyo's Alleged Killer Again Deemed Unfit for Trial
  NEW YORK CITY (NEWS 12 The Bronx) - A court-appointed psychologist has found Jose Gonzalez unfit to stand trial in the death of FDNY EMT Yadira Arroyo. Gonzalez, who is charged with first-degree murder, is accused of carjacking Arroyo's ambulance and running her over with it. She was a mother to five children. Since the March 2017 incident, Gonzalez has been evaluated twice by two court-appointed psychologists who found him not suitable to stand trial. Read more at News 12 The Bronx. (Source: JEMS Administration and Leadership)
Source: JEMS Administration and Leadership - December 6, 2018 Category: Emergency Medicine Authors: News 12 The Bronx Tags: News News Videos Administration and Leadership Source Type: news

PatientCare Executives Appointed to American Ambulance Association Board and Committees
LARGO, Fla. (Dec. 4, 2018) – PatientCare Logistics Solutions is pleased to announce that executives Rob Lawrence and John Peterson have been appointed to the American Ambulance Association’s (AAA) Board of Directors and Ethics Committee, respectively. PatientCare vice president Mark Postma has also transitioned to Immediate Past President of the Association. The AAA is a national trade association that represents hundreds of ambulance services across the country. The association serves as the voice for the ambulance services industry and promotes health care policies, and provides research, education and commu...
Source: JEMS Administration and Leadership - December 5, 2018 Category: Emergency Medicine Authors: PatientCare Logistics Solutions (press release) Tags: Administration and Leadership Press Releases Industry News Source Type: news

Armstrong Ambulance Drops Santa Off at Saugus Fundraiser
ARLINGTON, Mass. — Armstrong Ambulance is pleased to announce that one of its ambulances recently dropped off Santa Claus to a fundraiser in Saugus to raise money for the Relay for Life. On Saturday, Dec. 1, Armstrong Ambulance dropped Old Saint Nick off at Fuddruckers in Saugus to help raise money for the Relay For Life cancer walk. Relay For Life is a fundraising event for the American Cancer Society that organizes community walks to raise money for cancer research. "We were glad to be able to give Santa a ride to this great fundraising event," Armstrong CEO Richard Raymond said. "While our ambulance...
Source: JEMS Administration and Leadership - December 5, 2018 Category: Emergency Medicine Authors: Armstrong Ambulance Service (press release) Tags: Administration and Leadership Industry News Press Releases Source Type: news

NAEMSP 2019 Annual Meeting Will Reunite Governor with Lifesaving First Responders
OVERLAND PARK, KS – The National Association of EMS Physicians (NAEMSP) has several inspiring and informative presentations lined up for its 2019 Annual Meeting, which will take place January 7-12 in Austin, Texas. The conference will reunite its keynote speaker, former Pennsylvania Governor Tom Ridge, with the first responders who resuscitated him after his cardiac arrest in November 2017. The 2019 Annual Meeting is an important part of NAEMSP’s efforts to educate EMS personnel on the latest advances and best practices in out-of-hospital emergency care. Emergency medical care experts from across...
Source: JEMS Administration and Leadership - December 5, 2018 Category: Emergency Medicine Authors: National Association of Emergency Medical Services Physicians (NAEMSP) Tags: Administration and Leadership Industry News Press Releases Source Type: news

Montgomery County EMS Worker Charged after Inappropriately Touching Patient in Ambulance
  GAITHERSBURG, Md. - (FOX 5 DC) -- An employee with Montgomery County Fire and Rescue Services has been charged after officials said he inappropriately touched a female patient in an ambulance as they were heading to the hospital. The Montgomery County Police Department announced on Monday that 33-year-old Mario Arturo Obando-Rodriguez of Gaithersburg was arrested in connection with the alleged incident that occurred on July 3. Read more at FOX 5 DC. (Source: JEMS Administration and Leadership)
Source: JEMS Administration and Leadership - December 4, 2018 Category: Emergency Medicine Authors: FOX 5 DC Tags: News News Videos Administration and Leadership Source Type: news

N.Y. Town Finding Ways to Make EMS Succeed Despite Challenges
  GUILDERLAND, N.Y. (WNYT) -- If you have to dial 911, you don't want problems. However, as a NewsChannel 13 investigation recently discovered, the current system leaves many medical responders underpaid and overworked. That means they may not be at their best when they answer your call. Our report last week uncovered a number of issues plaguing the industry. To recap, we'll break them down, starting with a big problem that affects ambulance companies across the board – whether they be private, non-profit, volunteer, or run by a municipality. That problem is low pay. Next, the hours an EMT works are not regu...
Source: JEMS Administration and Leadership - December 4, 2018 Category: Emergency Medicine Authors: WNYT News Channel 13 Tags: News News Videos Administration and Leadership Source Type: news

French Paramedics Join Cost-of-Living Protests
PARIS (AP) — Anti-government protesters gained new allies Monday as French paramedics and students joined ongoing rallies while the prime minister met with political rivals in a bid to ease the anger following riots that rocked Paris. Facing the most serious crisis since his election in May 2017, President Emmanuel Macron remained silent but met with police officers to offer them support after "a day of unprecedented violence," the Elysee palace said. On Saturday, more than 130 people were injured and 412 arrested in the French capital amid one of the worst waves of unrest in the country in recent years. Po...
Source: JEMS Administration and Leadership - December 3, 2018 Category: Emergency Medicine Authors: Samuel Petrequin, Associated Press Tags: International News Administration and Leadership Source Type: news

National EMS Management Association (NEMSMA) Announced 2019 Board of Directors
The National EMS Management Association (NEMSMA) held its annual Board of Directors elections to fill the seats of the Board members whose terms are ending. This year, there were six candidates running for four seats; three seats are for two-year terms and one is for a one-year term. The three candidates with the highest number of votes were elected to two-year terms. The re-elected and new members of the Board of Directors will begin their terms on January 1, 2019. Participation for this election was once again high and shows great interest and commitment by the membership in electing representatives who share a common go...
Source: JEMS Administration and Leadership - December 3, 2018 Category: Emergency Medicine Authors: NEMSMA (press release) Tags: News Administration and Leadership Press Releases Source Type: news

Pennsylvania Facing Fire and EMS Crisis
  Harrisburg, Pa. (WTAJ) - First responders in Pennsylvania are in crisis. That's the message of a report released on Wednesday. A commission of fire and EMS organizations, as well as state lawmakers, released a report with 27 recommendations to improve fire and EMS in the state.   That includes adding incentives to help recruit first responders, expanding the office of the state fire commissioner, and providing state funding for basic fire and EMS training. (Source: JEMS Administration and Leadership)
Source: JEMS Administration and Leadership - November 29, 2018 Category: Emergency Medicine Authors: Jackson Elwell (WTAJ) Tags: News Administration and Leadership Source Type: news

EMS Agencies in W.V. to Merge in Effort to Better Serve Community
  MORGANTOWN, W.Va. (WDTV)-- In the words of the County Commissioners, "it's a great day to be a Mon County resident." The reason for this, is the announcement of the collaboration of Mon Health EMS and WVU Hospitals' HealthTeam Critical Care Transport ambulance services. "If we combine the assets of Mon EMS and our WVU Medicine HealthTeam EMS, we think we can build a better mouse trap," said Albert Wright, the President and CEO of WVU Health System. Bringing these two companies into one organization will allow for the closest ambulance to be immediately dispatched to a call. Read more at WDTV. (So...
Source: JEMS Administration and Leadership - November 29, 2018 Category: Emergency Medicine Authors: Mariah Congedo (WDTV) Tags: News News Videos Administration and Leadership Source Type: news

Last Call Made for Crew of Bismarck Air Medical Flight
During the 'Celebration of Life' on Monday morning at the Bismarck Event Center which honored the lives of three fallen first responders, there was the poignant moment of the 'Last Call.' The lives of Bismarck Air Medical pilot Todd Lasky, Bismarck Air Medical paramedic, Chris Iverson, and CHI St. Alexius Health Registered Nurse, Bonnie Cook, were celebrated during the hour and a half long service.   Prior to the service, more than 85 ambulances, police vehicles and firefighting units escorted their bodies from the Eastgate Funeral home to the Bismarck Event Center.   (Source: JEMS Administration and Leadership)
Source: JEMS Administration and Leadership - November 26, 2018 Category: Emergency Medicine Authors: Tia Streeter (KX News) Tags: News Videos Administration and Leadership Source Type: news